Anterior Cruciate Ligament Allograft Reconstruction Outcome Independent of Patient’s Age
Introduction: Anterior cruciate ligament reconstruction (ACLR) is a widely performed surgical procedure to restore knee stability following an ACL tear. While previous studies have explored the impact of age on ACLR outcomes, the specific influence of age on allograft ACLR remains relatively debatab...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-01-01
|
| Series: | Journal of Orthopedics, Traumatology and Rehabilitation |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jotr.jotr_119_23 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1823865314560966656 |
|---|---|
| author | Parimal Rana Jane Brennan Anagh Astavans Sneha Kuppireddy Christina Morganti Benjamin M Petre Andrea Johnson Justin J Turcotte Daniel Redziniak |
| author_facet | Parimal Rana Jane Brennan Anagh Astavans Sneha Kuppireddy Christina Morganti Benjamin M Petre Andrea Johnson Justin J Turcotte Daniel Redziniak |
| author_sort | Parimal Rana |
| collection | DOAJ |
| description | Introduction:
Anterior cruciate ligament reconstruction (ACLR) is a widely performed surgical procedure to restore knee stability following an ACL tear. While previous studies have explored the impact of age on ACLR outcomes, the specific influence of age on allograft ACLR remains relatively debatable. This study aims to investigate the relationship between age and allograft failure rates in ACLR.
Materials and Methods:
This retrospective study included 482 patients who underwent primary ACLR using a bone patella tendon bone allograft. Data on patient demographics, comorbidities, and postoperative outcomes were collected. Univariate analysis was conducted to identify any significant differences between the age groups. All statistical analyses were performed using R Studio.
Results:
Among the observed age groups, older individuals had a higher prevalence of comorbidities, including anxiety or depression (P = 0.043), hypertension (P < 0.001), and sleep apnea (P = 0.029). There were no significant differences in postoperative outcomes, including 90-day emergency department visits, 90-day postoperative admissions, or ACL retear with or without revision surgery at an average follow-up of 2 years, among the different age groups. The same was found when examining differences between patients <50 and patients 50 or older.
Discussion and Conclusions:
The results of the current study demonstrate that age does not significantly impact allograft ACLR outcomes. Age alone should not be the sole determining factor when considering ACL surgery, emphasizing the importance of personalized factors in decision-making. |
| format | Article |
| id | doaj-art-d580655b61fd46ebb6fcc27dcd0920f5 |
| institution | Kabale University |
| issn | 0975-7341 2347-3746 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Orthopedics, Traumatology and Rehabilitation |
| spelling | doaj-art-d580655b61fd46ebb6fcc27dcd0920f52025-02-08T07:33:13ZengWolters Kluwer Medknow PublicationsJournal of Orthopedics, Traumatology and Rehabilitation0975-73412347-37462024-01-01161606410.4103/jotr.jotr_119_23Anterior Cruciate Ligament Allograft Reconstruction Outcome Independent of Patient’s AgeParimal RanaJane BrennanAnagh AstavansSneha KuppireddyChristina MorgantiBenjamin M PetreAndrea JohnsonJustin J TurcotteDaniel RedziniakIntroduction: Anterior cruciate ligament reconstruction (ACLR) is a widely performed surgical procedure to restore knee stability following an ACL tear. While previous studies have explored the impact of age on ACLR outcomes, the specific influence of age on allograft ACLR remains relatively debatable. This study aims to investigate the relationship between age and allograft failure rates in ACLR. Materials and Methods: This retrospective study included 482 patients who underwent primary ACLR using a bone patella tendon bone allograft. Data on patient demographics, comorbidities, and postoperative outcomes were collected. Univariate analysis was conducted to identify any significant differences between the age groups. All statistical analyses were performed using R Studio. Results: Among the observed age groups, older individuals had a higher prevalence of comorbidities, including anxiety or depression (P = 0.043), hypertension (P < 0.001), and sleep apnea (P = 0.029). There were no significant differences in postoperative outcomes, including 90-day emergency department visits, 90-day postoperative admissions, or ACL retear with or without revision surgery at an average follow-up of 2 years, among the different age groups. The same was found when examining differences between patients <50 and patients 50 or older. Discussion and Conclusions: The results of the current study demonstrate that age does not significantly impact allograft ACLR outcomes. Age alone should not be the sole determining factor when considering ACL surgery, emphasizing the importance of personalized factors in decision-making.https://journals.lww.com/10.4103/jotr.jotr_119_23allograftanterior cruciate ligament reconstructionanterior cruciate ligament tearbone patella tendon bone allograft |
| spellingShingle | Parimal Rana Jane Brennan Anagh Astavans Sneha Kuppireddy Christina Morganti Benjamin M Petre Andrea Johnson Justin J Turcotte Daniel Redziniak Anterior Cruciate Ligament Allograft Reconstruction Outcome Independent of Patient’s Age Journal of Orthopedics, Traumatology and Rehabilitation allograft anterior cruciate ligament reconstruction anterior cruciate ligament tear bone patella tendon bone allograft |
| title | Anterior Cruciate Ligament Allograft Reconstruction Outcome Independent of Patient’s Age |
| title_full | Anterior Cruciate Ligament Allograft Reconstruction Outcome Independent of Patient’s Age |
| title_fullStr | Anterior Cruciate Ligament Allograft Reconstruction Outcome Independent of Patient’s Age |
| title_full_unstemmed | Anterior Cruciate Ligament Allograft Reconstruction Outcome Independent of Patient’s Age |
| title_short | Anterior Cruciate Ligament Allograft Reconstruction Outcome Independent of Patient’s Age |
| title_sort | anterior cruciate ligament allograft reconstruction outcome independent of patient s age |
| topic | allograft anterior cruciate ligament reconstruction anterior cruciate ligament tear bone patella tendon bone allograft |
| url | https://journals.lww.com/10.4103/jotr.jotr_119_23 |
| work_keys_str_mv | AT parimalrana anteriorcruciateligamentallograftreconstructionoutcomeindependentofpatientsage AT janebrennan anteriorcruciateligamentallograftreconstructionoutcomeindependentofpatientsage AT anaghastavans anteriorcruciateligamentallograftreconstructionoutcomeindependentofpatientsage AT snehakuppireddy anteriorcruciateligamentallograftreconstructionoutcomeindependentofpatientsage AT christinamorganti anteriorcruciateligamentallograftreconstructionoutcomeindependentofpatientsage AT benjaminmpetre anteriorcruciateligamentallograftreconstructionoutcomeindependentofpatientsage AT andreajohnson anteriorcruciateligamentallograftreconstructionoutcomeindependentofpatientsage AT justinjturcotte anteriorcruciateligamentallograftreconstructionoutcomeindependentofpatientsage AT danielredziniak anteriorcruciateligamentallograftreconstructionoutcomeindependentofpatientsage |